- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Clinical Case Manager will... utilization of services, and financial goals. The Clinical Case Manager oversees the ... RN or acute care, transitional care, or chronic care RN/ case management experience OR Associates degree in Nursing and...RN or acute care, transitional care, or chronic care RN/ case management experience required. *If Associate in Nursing, must… more
- Mount Sinai Health System (New York, NY)
- …in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years? ... **Job Description** **RN/ Case Manager MSH Case ...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/ clinical areas… more
- Rochester Regional Health (Rochester, NY)
- …a resource for utilization review stakeholders and assists team members in clinical problem solving. REQUIRED QUALIFICATIONS: + 3 years of acute hospital care, ... medical necessity denials. Review patient class in the event manager , assist with LOC determination retrospectively, and changes patient... Case Management and/or Utilization Management experience +… more
- Guthrie (Binghamton, NY)
- …care plan for patients, based on assessed needs and available resources. The Acute Case Manager monitors clinical approaches and make recommendations for ... Position Summary: The Acute Case Manager utilizes industry accepted processes...in an acute care setting with strong care management, utilization review, and payer knowledge. A Case … more
- Mount Sinai Health System (New York, NY)
- …in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years? ... **Job Description** The Case Manager (CM) will be responsible...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/ clinical areas… more
- Northwell Health (Staten Island, NY)
- …year related experience, required. Experience in case management and clinical pathways, variance analysis and trending, quality management/ utilization review ... a resource to the health care team regarding quality, utilization of clinical resources, payer, and reimbursement...Ensures Patient Review Instrument (PRI) is completed and reflects clinical profile of the patient. + Ensures case… more
- Arnot Health (Elmira, NY)
- …processes related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge ... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,...a current license as a registered nurse. BSN or Case Management Certification preferred. EXPERIENCE: Three years clinical… more
- Healthfirst (NY)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge ... planning, and case management as assigned. The Case Manager , Utilization Management is...medical necessity of treatments and service utilizations based on clinical documentation, regulatory, and InterQual/MCG criteria + Assessment -… more
- Nuvance Health (Poughkeepsie, NY)
- …affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support ... physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within the...cases are a priority and at a minimum the case manager reviews observation cases daily. 3.… more